Under the September 2003 rule, an individual was required to demonstrate the safe operation of a commercial motor vehicle while using insulin for the three-year period immediately prior to applying for a diabetes exemption. Unless the applicant worked as a driver in a state that could issue an intrastate permit, it would not have been possible to meet this requirement.

The revised rule, which took effect on November 8, 2005, provides for the individual assessment of applicants who use insulin to treat their diabetes, and are otherwise qualified to operate a commercial motor vehicle under the Federal Motor Carrier Safety Regulations. Under the revised rule, applicants are not required to have experience operating commercial motor vehicles while using insulin in order to qualify for the exemption. 

Unless the physician directs otherwise, a minimum of two months will be required for applicants who have been diagnosed with Type 1 diabetes, and a minimum period of one month will be required for individuals with Type 2 diabetes.  The vast majority of Teamster drivers are Type 2 diabetics—persons who were not born with the disorder but were diagnosed with it later in life.

An individual seeking a diabetes waiver under the new program may apply directly to the DOT. However, before applying, the individual must be evaluated by an endocrinologist and must have an eye exam by an ophthalmologist or an optometrist.  Additional medical information may also be required. Once the DOT receives the application, a decision will be issued within 180 days. 

Interested individuals may obtain an application package by visiting the DOT's website at http://www.fmcsa.dot.gov/rules-regulations/topics/medical/exemptions.htm.

The Teamsters Safety and Health Department has also developed the following fact sheet to assist members who are interested in the Diabetes Exemption Program:

http://www.teamster.org/resources/sh/factsheets/howtoapplyfordiabetesexemption_2006.pdf